How much rates vary
Facilitymedian $44 · 10th to 90th $3 to $91Professionalmedian $186 · 10th to 90th $148 to $324
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $223.87 Median $524.81 Typical High $676.08 | Facility | None | $223.87 | $524.81 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $112.20 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $147.91 | $165.96 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $43.65 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $123.03 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $281.84 | Professional | None | $181.97 | $223.87 | $281.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $60.26 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $162.18 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $263.03 Typical High $676.08 | Facility | None | $120.23 | $263.03 | $676.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $158.49 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $48.98 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $138.04 | Professional | TC · Technical part | $117.49 | $134.90 | $138.04 |
Pacific Source Setting Facility Modifier None Typical Low $2.95 Median $32.36 Typical High $87.10 | Facility | None | $2.95 | $32.36 | $87.10 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $2.95 Median $3.63 Typical High $89.13 | Professional | None (both parts) | $2.95 | $3.63 | $89.13 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $407.38 | Facility | None | $97.72 | $162.18 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $338.84 | Professional | None (both parts) | $147.91 | $190.55 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $38.90 | $66.07 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $144.54 | $245.47 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $181.97 | $194.98 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $52.48 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $134.90 | $141.25 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $177.83 | $186.21 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $46.77 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $457.09 | Professional | TC · Technical part | $131.83 | $138.04 | $457.09 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 4.2 times more in Nebraska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 20th of 51
$182
NE $380FL $91.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.